Exam Preview for 6973: Supporting Clients With ALS: Presentation An

Supporting Clients With ALS: Presentation And Management

Please note: exam questions are subject to change.

1. To confirm a diagnosis of ALS, a patient must demonstrate signs of which of the following? Both upper and lower motor neuron involvement Weakness in the arms and legs Spasticity in the legs and spastic speech Sensory deficits with fasciculations
2. What is the newest drug approved for clients with ALS, and why is its benefit limited? Riluzole; it causes gastrointestinal issues Neudexta; it does not improve muscle weakness Emflaza; it can contribute to muscle weakness Tofersen; it is only effective for SOD1 mutations, which affect a very small subset of patients
3. Based on current research, what is the recommended exercise approach for ALS clients? Avoid exercise beyond ADLs and IADLs. Encourage exercise even when muscle strength is only 3-/5. Functional and sub-maximal exercise is best for most clients. Daily exercise will dramatically reduce fatigue.
4. Why are adaptive tools (such as button hooks and sock aids) often not practical for people with ALS? The client will have too much hand weakness to use them. The client requires long-term, comprehensive access solutions rather than short-term tools. The client does not have the financial resources to purchase them. The client is likely to refuse all adaptations as “giving in.”
5. What is the best long-term accessibility solution for a client with ALS whose bedroom and bathroom are located upstairs? Installing a stair-climbing chair Relocating the bedroom to the main level and using a portable shower Immediately moving to a different house or apartment Completing a full home renovation or addition on the main level